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Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA)Familiarity with ICD-9, ICD-10 and CPT-4 coding practices.
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Expert knowledge of CPT/HCPCS coding rules, Charge Master build/maintenance, Clinical charging practices, and billing regulations and practices. AHIMA certification (e.g. RHIA, CCS, RHIT); AAPC certification (e.g. CPC, CPH, CA) or applicable clinical or professional certifications/licenses such as RN, RT, MT, RPH, ARRT required.
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Health Care knowledge around Health care Billing and coding (CPT/HCPCS, ICD, NDC) is a plus. 3+ years of State Government experience with Health and Human Services and have a strong level of domain expertise in Medicaid and MMIS (Medicaid Management Information System) initiatives, specifically Provider Enrollment.
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Responsibilities include post award invoicing and monitoring of all industry sponsored clinical trials and some other funded clinical research if the sponsor requires an invoice for payment of CPT coded items and services.
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Strong technical knowledge of Centers for Medicare & Medicaid Services (CMS) regulatory guidelines, including ICD-10 CM, CPT, and HCPCS Procedure Coding, and official coding guidelines. Completes online education courses and attends mandatory coding workshops and/or seminars (ICD-10 and CPT updates) for Physician Services coding.
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Summary Ensure optimum patient flow through the office; accurate and prompt submission of invoices to billing/collection department; initiation and maintenance of medical records; accurate, efficient scheduling of patient visits and accurate entry of ICD-10 and CPT-4 codes for patient charge and documentation purposes; accurate transcription of non-medical dictation; timely submission of reports.
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Familiarity with ICD-10, CPT, HCPCS, the use of modifiers, and/or the physician billing and collections processes is a plus. Location: West Midtown, College Park, Piedmont, West Paces, East Cobb, and Northside officesWork Schedule: Monday - Friday 8:00am - 5:00pm; occasional Saturdays on a rotating scheduleJob Type: Full-timeYour Impactful Role As the Patient Account Coordinator, your warm and professional demeanor will be a key asset.
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Knowledge of clinical procedures, medical anatomy, physiology, ICD-10 and CPT codes, insurance eligibility, and copay determination. Certified Registered/Clinical Medical Assistant (CCMA or CRMA) preferred.
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Evaluate medical claims for coding and pricing errors using accurate HCPCS, ICD-10, and CPT codes. Evaluate medical claims for coding and pricing errors using accurate HCPCS, ICD-10, and CPT codes.
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ICD-10 and CPT experience preferred. Team leads are responsible for their assigned PSRs. Duties include ensuring PSR tasks are completed and ensuring training requirements are up to date (e.g., LMS courses.
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EDUCATION/EXPERIENCERequired: Nationally recognized and company preferred Personal Trainer certification:ACSM CPT, EP, CEPACE CPTNASM CPTNSCA CPTRequired: Current CPR/AED & First Aid certificationMinimum one-year personal training or small group training experience.
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Investigate and review insurance plan edits in Epic - patient accounts - Monitor the accuracy of and edit as appropriate the CPT codes associated with each laboratory test B. Account Follow-up responsibilities - Follow-up with physician and patient clients to ensure proper and timely resolution of questionable accounts.
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Experience with the Continuity Planning Tool (CPT), ARC and Data Restore process, and Third Party Testing process. Experience with the Continuity Planning Tool (CPT), ARC and Data Restore process, and Third Party Testing process.
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Understanding key terminologies including: ICD-10, NDC, CPT, HCPCS, NPI, SNOMED, LOINC, RxNorm. Understanding key terminologies including: ICD-10, NDC, CPT, HCPCS, NPI, SNOMED, LOINC, RxNorm. Working knowledge of at least two claims data sets (e.g. IQVIA, Symphony, Healthverity, CMS, DRG, Compile, Komodo, Truven, etc.
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This position will require candidates to be proficient in ICD-10 and CPT codes as well as medical biling and coding duties. This position will require candidates to be proficient in ICD-10 and CPT codes as well as medical biling and coding duties.
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cpt job in Atlanta, GA
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